Abstract
Running headPeri-implant maintenance with CHXBackground: To assess the effect of chlorhexidine (CHX) chip application in patients with peri-implant mucositis as compared to CHX gel application. Methods: In peri-implant sites with mucositis, CHX gel was applied in the control group (GC) and CHX chips in the test group (CC) at baseline and after three months. At baseline and after six months, peri-implant pocket depths (PPD), bleeding-on-probing (BOP) and activated matrix metalloproteinase-8 (aMMP8) were assessed. Longitudinal changes were tested for inter-group differences. Results: Thirty-two patients were treated. BOP was more reduced (p = 0.006) in CC than in GC, with means and standard deviations of 46 ± 28% and 17 ± 27%, respectively. PPD was more reduced (p = 0.002) in CC than in GC with 0.65 ± 0.40 mm and 0.18 ± 0.32 mm, respectively. Regarding BOP, the percentages of improved, unchanged and worsened sites accounted for 32%, 61% and 7% in GC and 46%, 53% and 1% in CC, respectively. For probing pocket depth, the according values were 26%, 66% and 8% (GC) versus 57%, 38% and 5% (CC). Conclusions: During supportive therapy, repeated CHX chip application might resolve marginal peri-implant inflammation in terms of bleeding better than CHX gel.
Highlights
To assess the effect of chlorhexidine (CHX) chip application in patients with peri-implant mucositis as compared to CHX gel application
Once the bony attachment is affected by inflammation and marginal bone loss is observable in radiographs or peri-implant probing proves attachment loss, the manifestation of peri-implant inflammation is called peri-implantitis
Up to four CHX chips were placed into the pockets of ailing implants coworkers [27]
Summary
To assess the effect of chlorhexidine (CHX) chip application in patients with peri-implant mucositis as compared to CHX gel application. At baseline and after six months, peri-implant pocket depths (PPD), bleeding-on-probing (BOP) and activated matrix metalloproteinase-8 (aMMP8) were assessed. Once the bony attachment is affected by inflammation and marginal bone loss is observable in radiographs or peri-implant probing proves attachment loss, the manifestation of peri-implant inflammation is called peri-implantitis With the latter, tissue breakdown becomes irreversible [1,2]. Tissue breakdown becomes irreversible [1,2] For both forms of peri-implant disease conditions, biofilms, which are formed on the implant surfaces, are considered the primary etiologic reason for the phlogistic host response, while several risk factors have been found to modify disease initiation and progression [4,5,6]. History of periodontitis, insufficient oral hygiene and general health issues seem to constitute major problems [7,8,9] while the impact of smoking is still a matter of controversial discussion [7,10]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
